Individual
DR. SALLY G PRIMUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1449 KIMBER LN STE 102A, EVANSVILLE, IN 47715-4067
(126) 162-0208
(812) 616-1400
Mailing address
1449 KIMBER LN STE 102A, EVANSVILLE, IN 47715-4067
(812) 616-2020
(812) 616-1400
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
01076710A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201185390
—
IN
Enumeration date
03/21/2012
Last updated
11/18/2021
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